In order to better assist you, we need some general information about you and your dog.Please complete this form and we will contact you to discuss your training options. We appreciate the time you take to fill out the form sufficiently. You can also view our class locations, schedule, and rates by clicking on Locations on our home page. We look forward to hearing from you!
Section A
First Name		Last Name
Email
Street Address
City:		Day Phone
State		Evening Phone
Zip		Alternate Phone
Referred by
Dog’s Name		Breed
Age		Sex	malefemale
Are you interested in group classesprivate in-home trainingboth group and in-homeBoard and Train
Section B
If you are seeking training for an additional dog:
Dog’s Name		Breed
Age		Sex	malefemale
Are you interested in group classesprivate in-home trainingboth group and in-homeBoard and Train
Is Dog part of the same household?yesno

Section C

What other pets are in the home?

Please list other family members in home (please include age of children).


Does dog(s) have any medical problems? (If yes, please explain)

Has dog(s) ever bitten or injured another person or animal? (excluding playful nipping) (If yes, please explain what happened and describe the severity of the bite/injury)

Where did dog(s) come from? How long has dog been in home?

Please describe any previous training dog(s) has had:

What commands does the dog(s) know?

Please list commands you would like to teach your dog:

Please list your dog(s) behaviors that you would like to change:

Please include any additional comments or questions you have: